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HomeMy WebLinkAboutLat_13925PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. Obi 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 2/20/35 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WO-'Ek SYSTEM Permission is hereby given to: For Property Located at kichard Freeman 25'44_ Pennsylvania _Av_enu 25 SUBDISTRICT No. 15 - Maugansville/Orchard Hills ownedby: Richard Freeman Address: 2544 Pennsylvania Aven je, Hagprstawn P11 Type of Connection: To Service Connection X To Main Line: Type of Service: Residential Units Other Commercial Industrial Meter Size Connection Fee $620-00 ._ Date Paid 2.12U/Ali To, connect to a public seweragelwZxrKsystem (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water AccopubtUnknown. Secretary -Treasurer Building Permit No. INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Date Plum bi Inspector OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: Date DISTRIBUTION: Permittee ( Plumbing Board Fie Off City of Hag. 1 WASHINGTON COUNTY SANITAF DISTRICT SANITARY SEWER LATEi',':_ WASHINGTON COUNTY, M0. CONSTRUCTION REC(ii21i Project: Mauaensvi Street (or location): Contractor: Lisbon Contractors. Inc. _ Date Installed d AfazwB= MH 663 TO MH "4 Wye Ste. On Main SIZE TYPE PIPE TYPE C.O. DEPTH C.O. TYPE--- LATERAL —EXCAV. LENGTH L A LENGTH BX(o x8 "�02 Z6 PVG.' 022 ,6 , *Horz. = Tota] l� G G. SL , c:.�. � o v ,'� St'd. ,/ *Sl6pe+ Porz7otal Drop (8.90L.� .�.09fle. 7?=/(o-a6.L•F NOTES HAIki !" "502 Z6 PVL - i 45� Bends I Depth of Cleanout 6.26 V F ®Flow Cleanout -/�" Fromm Layed 6 60.25 % AAer c'" A(O Basomont Service MH// 6"- 3 Amounts pertlaaf ing to work complete i BY UCSD Inspectdr /r.v-_ 11"Q/` AN P5L. F. Line MH# 6(� .G•C7• 2 �6 ECG this period reviewed and approved. ontractora Rep. Lof� Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 17 Contract No. SD15- 3-9 Property Address: Z119Z Pennsylvania Avenue Place an 'X' in the sketch below to indicate where the property owner wants the service connection (lateral) to enter the property. Place a wooden stake in the ground'at that location. MW am T - DMH SD15- 664 7 r -DRAIN FIELD i "NOTE: CONTRAG SEPTIC -n CON STR U SEE EASe OF SEPT[ The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property line so as to facilitate, and make less expensive, the owner's connection to the lateral and to prevent damage to the cleanout which will be installed by the District at or near the roperty line. , Owner Owner Attest: k-t'l-6-A L J -t-t-e Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 6AE # P78 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Addresszs �i�/ ��� ✓!/�./�v Signed (��c Property Owner Date 14-1 tez/g Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S Gentlemen: We hereby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: Requested by Lisbon Contractors, Inc. Approved by W. C . S . D. Inspector b.W. g,-, f -e_ Date / `�6--> --